National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care in England. Core Values and Principles
|
|
- Mabel Hardy
- 6 years ago
- Views:
Transcription
1 National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care in England Core Values and Principles
2 Contents Page No Paragraph No Introduction 2 1 National Policy on Assessment 2 4 The Assessment Framework 3 10 The Screening Tool 4 12 The Decision-Support Tool 5 18 Dementia, Mental Health Needs and Acquired Brain Injury 7 30 Learning Disabilities 8 32 Palliative and End-of-Life Care 8 34 Co-ordination of the Assessment Framework 8 37 Communication with Individuals/Families 9 40 Governance Arrangements Commissioning Review Dispute Resolution
3 Core values and principles Introduction 1. This document sets out the core values, principles and best practice which underpin the proposals for the new integrated National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care in England. The values and principles herein have been developed in consultation with representatives from health and social care and voluntary organisations as well as users and carers. 2. This document is intended to support and clarify the main Consultation document which details the proposed National Framework, by describing operational aspects not included in the principal document and the principles which frame the proposals. 3. This document does not form part of the formal Consultation itself, though contributions are welcomed in relation to points which require additional clarity, or where certain aspects have not been covered by this document. National Policy on Assessment 4. The assessment for, and delivery of, NHS Continuing Healthcare and NHS-funded Nursing Care should be organised so that individuals and carers understand the process, and receive advice and information to enable them to participate in informed decisions about their future care. Decisions and rationales relating to eligibility should be transparent from the outset for individuals, carers, family, and staff. 5. Eligibility for NHS Continuing Healthcare is based on an individual s assessed health needs and is not disease-specific, nor determined by either the setting where the care is provided nor who delivers the care. Access must be fair and there should be no discrimination based on age, condition or type of health need (e.g. physical, psychological or mental). An individual s preferences and wishes, as to how and where the care will be delivered, should be taken into account, along with the risks of different types of provision and fairness of access to resources, when deciding how their needs will be met. Where a person s express preferences are not met, then clear reasons should be given to them. 6. A decision on an individual s eligibility for NHS Continuing Healthcare should not be budget or finance led; the person s assessed health needs should be the primary indicator. 7. Eligibility for NHS Continuing Healthcare is dependent upon establishing that an individual s primary need is a health need, as set out in paragraphs of the main Consultation Document. 2
4 This requires a clear, reasoned evidence base from a comprehensive assessment framework. A number of these are already in place and appropriate to the care group concerned, for example; i. Single Assessment Process (SAP) for Older People ii. Care Programme Approach (CPA) for Mental Health patients iii. Person-Centred Plans for Learning Disability These will be developed into a common assessment framework following on from the White Paper Our Health, Our Care, Our Say: A New Direction for Community Services published in January Where an individual s primary need is a health need, the responsibility for providing or commissioning the care needed to meet those needs falls on the NHS. 9. In summary, the core values and principles of the policy on eligibility are set out in the table below: The decision on eligibility for NHS Continuing Healthcare should always be needs-led (acknowledging layers of complexity) and not diagnosis-led. NHS Continuing Healthcare is available in any setting, as is access to the assessment process. All decisions will be culturally sensitive and client-centred. The NHS Continuing Healthcare decision-making process recognises that the Single Assessment Process (SAP), or other comprehensive assessment processes, is the key to professional assessments for NHS Continuing Healthcare. Assessment for NHS Continuing Healthcare should always consider whether there is further potential for rehabilitation, or how the outcome of any treatments or medication may affect ongoing needs. Regular reviews are built into the process. Decision-making rationale should not include any elements which are based on who provides the care or the location of the care, or marginalise a need because it is successfully managed. The risks and benefits to the patient of a change of location or support (including funding) should be considered carefully before any move or change is confirmed. The Assessment Framework 10. The NHS makes the decision on responsibility for NHS Continuing Healthcare working in collaboration with Social Services. The process can be initiated wherever the individual is residing. It is important that the process, including funding decisions, does not delay treatment or appropriate care being put in place. 3
5 11. The assessment framework has been developed to ensure that; i. Those staff whose responsibility it is to make the relevant decisions on eligibility for NHS funding have had the benefit of access to information on the overall policy and relevant guidance to support decision-making. ii. There is full and active involvement of individuals and, where appropriate, their carers in the process. iii. The policy on eligibility for NHS Continuing Healthcare is promoted so that the public, health and social care practitioners and the independent and voluntary sector understand who may be eligible and how to access an assessment. iv. Professionals work within the assessment framework to assess an individual s type and level of needs before eligibility is determined. v. The process of assessment and decision-making is co-ordinated. vi. Potential eligibility for NHS Continuing Healthcare is identified at an early stage through a screening process, so that full assessments are carried out appropriately and proportionately to streamline the process. vii. Individuals who require fast-tracking because of the nature of their needs (e.g. because a prognosis indicates a short-term life expectancy) can be identified through the screening process to make sure their needs are met as quickly as possible, without having to undergo a full assessment. viii. Eligibility for NHS Continuing Healthcare is awarded consistently and fairly for all adults across care groups, irrespective of the reason for their needs, or the type of those needs. ix. No decision is made unilaterally without reference to a multi-disciplinary team assessment. x. The process is underpinned by effective governance arrangements, including local audits of decision-making. The Screening Tool 12. The national Screening Tool will be developed in conjunction with the Decision-Support Tool which underpins the full assessment for NHS Continuing Healthcare. As with full assessments, the use of the Screening Tool is not dependent upon the location of the individual, or who is currently providing care. 13. The purpose of the Screening Tool is twofold: i. to encourage proportionate assessments by targeting resources for full assessments at those for whom NHS Continuing Healthcare may be appropriate, and; ii. to identify those individuals who require fast-tracking to immediate care, for example because they have a short-term life expectancy. 4
6 14. The tool acts as a preliminary indication that a person needs a full assessment, and should not substitute for that full assessment nor exclude anyone who may be eligible for NHS Continuing Healthcare. If in doubt, a full assessment should always be undertaken. 15. The format of the Screening Tool will follow the needs-led approach set out in the Decision-Support Tool, by identifying generic areas in which the needs may fall (see paragraph 21 below). In order to minimise the risk of individuals being screened out of the assessment process inappropriately, the point of referral indicated by the tool will be set intentionally low, following the principle that the tool be inclusive rather than exclusive. 16. In addition, the tool will support fast-tracking by identifying those individuals who are eligible for NHS Continuing Healthcare and for whom a full assessment is not appropriate because of the immediacy of their care needs. 17. The Screening Tool should be used at the first stage of the assessment process, before any comprehensive assessment of a person s needs is undertaken. For patients being discharged from acute settings, the tool should be the first step in considering eligibility for NHS Continuing Healthcare following the responsibility set out in the Community Care (Delayed Discharges etc) Act For those entering the assessment framework from another setting, or undergoing a review of their needs (for example, an annual review carried out in a care home), the tool should be the first point of reference in assessing for NHS Continuing Healthcare when a healthcare episode occurs, or as part of a regular review of care needs. The Decision-Support Tool 18. The national Decision-Support Tool has been developed to support practitioners in the application of the national policy on eligibility for NHS Continuing Healthcare and to inform consistent decisionmaking in line with the primary health need approach. 19. The Decision-Support Tool does not make the decision on eligibility itself. Professional judgment is paramount and the tool does not seek to replace this. The tool helps describe and record an overall picture of the individual s needs to give an indication of whether a primary health need is present, but the task of deciding eligibility for NHS Continuing Healthcare falls to the assessors themselves. 20. The tool is only one part of the assessment framework. It is designed to assist practitioners in determining an individual s eligibility for NHS Continuing Healthcare by ensuring the full range of factors which have a bearing on an individual s eligibility are assessed, taken into account and given due weight when making a decision. It should be used following a comprehensive assessment of an individual s care needs, as a way of bringing together and recording the various needs in a single, understandable format, to facilitate logical and consistent decision-making. 5
7 21. The tool, provides practitioners with needs-led approach by assessing need on the basis of eleven care domains. These domains represent generic areas of need into which the various needs of an individual can be placed. The domains are sub-divided into statements of need representing low, moderate, high, severe or priority levels of need, depending on the domain. The care domains are: Behaviour Cognitive Impairment Communication Mobility Nutrition Food & Drink Continence Skin (including tissue viability) Breathing Drug Therapies & Medication Psychological/Emotional Needs Seizures/Altered States of Consciousness 22. The levels of need described in the tool relate directly to the four key indicators of a primary health need which are described in the eligibility policy of the National Framework. These levels are relative to each other and to the other domains; some domains include needs which are so great that they could reach the priority level, others do not. 23. An individual should be identified by the PCT to co-ordinate the assessment and liaise with the multi-disciplinary team to complete the decision-support tool and match, as far as possible, the individual s level of need with the description that most closely relates to their specific needs. This approach should build up a detailed analysis of a person s needs and provide the evidence to inform the decision on eligibility. 24. The levels of need described in the Decision-Support Tool may not always adequately describe every individual s circumstances. Professional judgment and clinical reasoning are paramount in ensuring an individual s needs are accurately assessed, taken into account and given due weight when making a decision. This will include how they may interact as part of the individual s overall need for care. 25. Care has been taken to avoid duplication and ensure that one specific need is not repeated in two separate care domains. However, assessors should consider how different but inter-related needs across more than one domain can complicate the individual s overall care needs and demonstrate sufficient complexity or intensity to demonstrate that the primary need is a health need. Examples of this might 6
8 include the relationship between skin integrity and continence, or cognitive impairment and behaviour and/or communication. 26. The tool brings together needs across the care domains, enabling assessors to determine whether the person s primary need is a health need. The tool is not prescriptive, and professional judgment should be exercised in all cases to ensure that the individual s overall level of need is correctly tested against the primary health need criterion, and that appropriate decisions are made. 27. There may be circumstances, on a case-by-case basis, where an individual may have particular needs which do not appear to match the care domains described in the Decision-Support Tool. In this situation, it is the responsibility of the assessors to determine the nature and extent of any other needs and, in conjunction with the needs covered using the tool, decide whether the person s primary need is a health need. 28. The decision-support tool is not relevant where an individual s needs are such that access to NHS Continuing Healthcare is fast-tracked, for example as result of rapid deterioration and short-term life expectancy. These needs should have been identified through the Screening Tool at the first stage of the assessment process. 29. A draft of the Decision-Support Tool has been published with the National Framework documents, to demonstrate how the national eligibility policy may be applied in practice. Contributions are welcomed separately on the content and format of this tool for more information please see the separate publication. Dementia, Mental Health Needs and Acquired Brain Injury 30. Individuals with dementia, mental health needs or acquired brain injury being considered for NHS Continuing Healthcare are likely to have a range of needs requiring assistance or intervention from others. Some needs are consistent and predictable, e.g. the need to be assisted with washing and dressing for an individual with fairly advanced dementia. Other needs are less predictable, e.g. unexpected distress, intermittent restlessness or variable resistance to care. 31. These needs will generally be most pronounced in the psychological/emotional, cognitive impairment and communication domains. However, it is essential that where there are ongoing or recurrent behavioural problems associated with meeting basic care needs or in communication with an individual, that the behavioural needs are taken into account and given due weight in the assessment. 7
9 Learning Disabilities 32. Learning disabilities means: A significantly reduced ability to understand new or complex information or to learn new skills (impaired intelligence), with a reduced ability to cope independently (impaired social functioning), which started before adulthood, with a lasting effect on development. 33. Some of the domains within the assessment framework will not be relevant to these individuals; others may not fully reflect their needs. It is important that assessors consider the totality of the individuals needs and how those needs inter-relate to complicate their care. In particular, communication and behaviour are complex issues for this care group. Palliative and End-of-Life Care 34. Palliative care is considered to be the model for quality and compassionate care for people facing an illness or injury. It involves a team-oriented approach to expert medical care, emotional and spiritual support and pain management, if required; all expressly tailored to the person s needs and wishes. Palliative care may be required for many years, but end-of-life care, which often includes specialist palliative care, is generally required for a relatively short period. 35. Where a person has needs that require the input of specialist palliative care services they should be referred to the specialist services for an assessment. The specialist service will assess both immediate needs and continuing care needs, in the light of the person s prognosis. Where the person s health needs are increasing rapidly and a delay in assessment is anticipated, the specialist service in consultation with the care manager should consider referring the person for NHS Continuing Healthcare through a fast track process to avoid delays in discharge from hospital or hospice to home. 36. Individuals with a rapidly deteriorating condition and short-term life expectancy will immediately qualify for NHS Continuing Healthcare. For the purposes of determining eligibility to NHS funding, short-term should not to be defined prescriptively or restrictively, but should be based on an assessment of the person s care needs and considered as a period of time which can be expressed in days and weeks. Strict time limits are not relevant for end of life cases and should not be imposed it is the responsibility of the assessor to make a decision based on the relevant facts of the case. Co-ordination of the Assessment Framework 37. In order to ensure fair and consistent access to NHS Continuing Healthcare, the PCT is responsible for ensuring the assessment process and application for funding are co-ordinated effectively. Whatever local model is employed, it is essential that the functions be fulfilled by practitioners who have experience and expertise in assessment, a thorough working knowledge of the policy on eligibility and well developed leadership qualities, to ensure the assessment framework is adhered to in a timely manner. The co-ordination functions are set out below. i. Ensuring that the Local Authority is involved appropriately in the process and, if so, informed of the outcome of the assessment. 8
10 ii. Case management of the assessment process to ensure all relevant input from the NHS multidisciplinary team assessment is completed in a timely manner, iii. Liaison with the individual and their carer/family, if appropriate, to ensure they are kept fully informed and involved throughout the process and informed of the outcome and reasons for the decision. iv. Communication to individuals that eligibility for NHS Continuing Healthcare depends on needs and if those needs change both the care and the funding may change. v. Identification of individuals who should be fast-tracked for funding. vi. Co-ordination and evaluation of NHS multi-disciplinary team input using the Decision-Support Tool. vii. Ensuring that the recommendation for funding is collated, evidenced and sent to the commissioning body. viii. Referral to the commissioning body for funding the care package. ix. Discussion with the individual and family on the next steps and timeframes to implement the care plan and/or inform the individual of their rights. 38. The relationship between assessors and commissioners of NHS Continuing Healthcare is a critical one and it is recommended that a decision on funding the care package is made and reported back to the referrer within 5 working days. As far as possible, a decision on funding should not be too far removed from the assessment itself, and should be communicated both verbally and in writing, evidencing, where applicable, why the person does not have a primary health need. The decision should be communicated to the individual, the referrer, the NHS multi-disciplinary team and the Local Authority, where appropriate. 39. Ongoing case management for those individuals in receipt of NHS Continuing Healthcare will be the responsibility of the NHS. Communication with Individuals/Families 40. Primary Care Trusts (PCTs) have a responsibility for ensuring that all individuals and their carers who are referred for NHS Continuing Healthcare are aware of the process, and that the patient is kept informed throughout the process. The PCT should communicate any decisions made formally in writing to the patient or their representative, providing a clear rationale for that decision. 41. Clear timeframes should be followed, from referral to completion of assessment to decision. Timeframes should be agreed locally, with processes in place to establish reasonable targets for each stage. If the individual is currently in NHS care, the NHS continues to fund and provide care for the individual during this time. These timeframes should be made clear to the patient and their carer, 9
11 should be agreed and set with the multi-disciplinary team following completion of the screening process, and all team members should be informed of their responsibilities. Individuals who require fast tracking should be identified and all efforts made to ensure they receive NHS Continuing Healthcare as quickly as possible. 42. Timeframes are important for the following reasons; i. It is in the best interest of the individuals for the outcome to be known as soon as possible, ii. It highlights the importance of assessment, and iii. It increases the likelihood of the patient being discharged in a timely manner, thereby reducing potential for a delayed discharge. 43. All records should be written in a clear and concise way, and individuals should be given copies of the assessment and decision rationale (their carers/families should also receive copies if consent is granted). 44. Individuals should also receive copies of the evidence considered to make a decision on their eligibility. 45. It is the responsibility of the PCT to communicate both verbally and in writing to the patient or their representative that eligibility for NHS Continuing Healthcare depends on assessed needs, and if those needs change both the care and the funding may change. Ongoing eligibility for NHS Continuing Healthcare will depend on regular reviews of assessed needs and the patient and their families or carers, where appropriate, will be involved in this with clear timeframes for notification. Governance Arrangements 46. PCTs are responsible for establishing and managing NHS Continuing Healthcare governance. Amongst their primary responsibilities are the following; i. Ensuring consistency in the application of the national policy on eligibility for NHS Continuing Healthcare, ii. Promoting awareness of NHS Continuing Healthcare, iii. Implementing and maintaining good practice, iv. Ensuring quality standards are met and sustained, v. Providing training and development opportunities for practitioners, vi. Identifying and acting on issues arising in the provision of NHS Continuing Healthcare, and; vii. Informing commissioning arrangements, both on a strategic and individual basis. 10
12 Commissioning 47. It is the responsibility of the PCT to identify, commission and contract for all services required to meet the needs of all such individuals who qualify for NHS Continuing Healthcare. However, it may be appropriate for Local Authorities to share information and databases in order to assist PCTs with their commissioning responsibilities. Review 48. Individuals receiving NHS Continuing Healthcare may not remain permanently eligible. If the nature or level of their needs change significantly, a review of the patient s needs should be made. 49. Any such review should be transparent and supported by a rationale/explanation of the decision. Both verbal and written reports should be given to the individual. 50. All individuals should be reviewed on an agreed regular basis. A minimum standard is three months from the initial assessment, and then annually or more frequently according to needs. Dispute Resolution 51. The existing procedures for dispute resolution, including the operation and formation of all review panels established following the 2004 Directions, will remain in place to ensure consistency and accountability during the transition to the National Framework. Practical matters, such as organisational responsibilities, will be considered as part of the update of the 2004 Directions. 52. Primary Care Trusts should deal promptly with any request to review decisions about eligibility for either NHS Continuing Healthcare or NHS-funded Nursing Care. 53. In the first instance, the PCT should refer the case to its local resolution process. This will usually take the form of a PCT review panel, though local procedures may be adapted to include reference to the review panel of a neighbouring PCT to provide greater patient confidence in the impartiality in decision-making. 54. Once local procedures have been exhausted, the case should be referred to the SHA s Independent Review Panel (IRP), who will consider the case and make a recommendation to the PCT. The panel s key task is to assess whether the PCT has correctly applied the national policy on eligibility for NHS Continuing Healthcare or NHS-funded Nursing Care, and has followed the processes set out in the National Framework. Based upon its review of the circumstances surrounding the case, the IRP can then make a recommendation on the validity of the PCT s decision. 55. The role of the IRP is advisory. The IRP will seek information from the patient s family or carer, and appropriate professional advice from relevant staff involved with the case (hospital, community health 11
13 and social services staff, the patient s GP). Although not legally binding, it is expected that in practice the decisions of the IRP will be usually accepted by the PCT. 56. If the IRP upholds the position of the PCT or cannot satisfy the claimant, the patient reserves the right to further their complaint through the Healthcare Commission and/or the Parliamentary and Health Services Ombudsman. The expectation will be that formal local resolution procedures will have been exhausted before this course of action can be taken. Either the Healthcare Commission or the Ombudsman may decide not to investigate the complaint, but will normally do so if there is evidence that calls the safety of decision-making into question. 57. The key principles for the dispute resolution process for NHS Continuing Healthcare, which have been adapted from best practice material produced by the Ombudsman s office, are set out below: Gathering and scrutiny of all available and appropriate evidence, including that from the GP, hospital (nursing, medical, mental health, therapies etc), community nursing services, care home provider, Social Services records etc, as well as any evidence submitted by the claimant. Compilation of a robust and accurate identification of the care needs. Audit of attempts to gather any records said to be not available. Involvement of claimant/carer as far as possible, including the opportunity for claimants to input information at all stages. There should be a full record of deliberations at all review panels. Clear and evidenced written decisions to the claimant setting out rationale for the panel s decision on their eligibility for NHS Continuing Healthcare on the basis of their needs only. This should include appropriate rationale related to the core national policy on eligibility. The recommendation or decision rationale should not be determined on the basis of: the inputs required to manage the care needs, the setting of care, the ability of the care provider to manage care, the use (or not) of NHS employed staff to provide care, the need for/presence of specialist staff in care delivery, the existence of other NHS-funded care, or any other input-related (rather than needs-related) rationale. Congruency and consistency between the panel deliberations and the recommendation/decision letter. 12
14 Crown copyright June 2006 Gateway 6507
NHS Continuing Care and NHS-funded Nursing Care
NHS Continuing Care and NHS-funded Nursing Care What do the terms mean? Units 6 & 8, Hill View Business Park Old Ipswich Road, Claydon, Suffolk IP6 0AJ Email enquiries@suffolkfamilycarers.org Website www.suffolkfamilycarers.org
More informationFast Track Pathway Tool for NHS Continuing Healthcare
Fast Track Pathway Tool for NHS Continuing Healthcare DH INFORMATION READER BOX Policy Clinical Estates HR / Workforce Commissioner Development IM & T Management Provider Development Finance Planning /
More informationPolicy for Children s Continuing Healthcare
Policy for Children s Continuing Healthcare 1 SUMMARY 2 RESPONSIBLE PERSON: 3 ACCOUNTABLE DIRECTOR: This policy and policy guidelines describes the way in which the five CCG s in North Central London will
More informationabcdefgh THE SCOTTISH OFFICE Department of Health NHS MEL(1996)22 6 March 1996
abcdefgh THE SCOTTISH OFFICE Department of Health ** please note that this circular has been superseded by CEL 6 (2008), dated 7 February 2008 Dear Colleague NHS RESPONSIBILITY FOR CONTINUING HEALTH CARE
More informationInvestigation into NHS continuing healthcare funding
Report by the Comptroller and Auditor General Department of Health and NHS England Investigation into NHS continuing healthcare funding HC 239 SESSION 2017 2019 05 JULY 2017 Our vision is to help the nation
More informationNHS continuing healthcare and NHS-funded nursing care
Factsheet 20 May 2013 NHS continuing healthcare and NHS-funded nursing care About this factsheet This factsheet explains what NHS continuing healthcare (NHS CHC) is, the process for deciding whether you
More informationContinuing Healthcare - should the NHS be paying for your care?
Continuing Healthcare - should the NHS be paying for your care? This factsheet explains when it is the duty of the NHS to pay for your social care. It covers what NHS Continuing Healthcare is, who is eligible,
More informationSouthend, Essex & Thurrock Continuing Care Policy for Children and Young People
Southend, Essex & Thurrock Continuing Care Policy for Children and Young People (Working on behalf of Basildon & Brentwood Clinical Commissioning Group, Castlepoint & Rochford Clinical Commissioning Group,
More informationContinuing Healthcare - should the NHS be paying for your care?
Continuing Healthcare - should the NHS be paying for your care? This factsheet explains when it is the duty of the NHS to pay for your social care. It covers what NHS Continuing Healthcare is, who is eligible,
More informationCHC Operational Guidelines. 31 January 2017 Performance and Quality Committee
Title: Developed by: Document type: Policy library: Sub Section: Document status: Date of ratification: CHC Operational Guidelines CHC Senior Operational Managers Guidelines Ratified 31 January 2017 Performance
More informationDRAFT - NHS CHC and Complex Care Commissioning Policy.
DRAFT - NHS CHC and Complex Care Commissioning Policy. 1. Introduction 1.1 This policy describes the way the following Clinical Commissioning Groups (CCGs) NHS Wirral Clinical Commissioning Group, NHS
More informationNHS funding for care and support
BCDEFGHIJKLMNOPQRSTUVWXYZabcdefghijklmnopqrstuvwxyz1234567890! $%^&*()_+=-{}:@~?>
More informationChildren s Continuing Care. An Information Leaflet
Children s Continuing Care An Information Leaflet What is Children s Continuing Care? Continuing care is required when a child or young person s health needs cannot be met by existing universal or specialist
More informationHigh level guidance to support a shared view of quality in general practice
Regulation of General Practice Programme Board High level guidance to support a shared view of quality in general practice March 2018 Publications Gateway Reference: 07811 This document was produced with
More informationHow CQC monitors, inspects and regulates NHS GP practices
How CQC monitors, inspects and regulates NHS GP practices March 2018 Updates to this guidance since October 2017: NEW annual provider information collection (for practices rated as good and outstanding)
More informationSafeguarding Vulnerable Adults Policy
POLICY & PROCEDURES PROTECTION OF VULNERABLE ADULTS This policy was written in conjunction with the Multi-Agency Safeguarding of Vulnerable Adults in Lincolnshire Policy STATEMENT The welfare of all vulnerable
More informationASSESSMENT PROCESS FOR NHS CONTINUING HEALTH CARE OPERATIONAL GUIDANCE FOR PRACTITIONERS
ASSESSMENT PROCESS FOR NHS CONTINUING HEALTH CARE OPERATIONAL GUIDANCE FOR PRACTITIONERS September 2014 CONTENTS 1. Introduction 2. The National framework for Continuing Healthcare November 2012 (Revised)
More informationNHS CHOICES COMPLAINTS POLICY
NHS CHOICES COMPLAINTS POLICY 1 TABLE OF CONTENTS: INTRODUCTION... 5 DEFINITIONS... 5 Complaint... 5 Concerns and enquiries (Incidents)... 5 Unreasonable or Persistent Complainant... 5 APPLICATIONS...
More informationabcdefghijklmnopqrstu
Primary and Community Care Directorate Please note that this circular has been abcdefghijklmnopqrstu replaced by DL(2015)11, dated 28 May 2015 T: 0131-244 3635 F: 0131-244 5307 E: brian.slater@scotland.gsi.gov.uk
More informationMental Health (Wales) Measure Implementing the Mental Health (Wales) Measure Guidance for Local Health Boards and Local Authorities
Mental Health (Wales) Measure 2010 Implementing the Mental Health (Wales) Measure 2010 Guidance for Local Health Boards and Local Authorities Januar y 2011 Crown copyright 2011 WAG 10-11316 F6651011 Implementing
More informationGuide to the Continuing NHS Healthcare Assessment Process
Guide to the Continuing NHS Healthcare Assessment Process Continuing NHS Healthcare (CHC) is a package of care arranged and funded solely by the NHS, where it has been assessed that the person s primary
More informationWandsworth CCG. Continuing Healthcare Commissioning Policy
Wandsworth CCG Continuing Healthcare Commissioning Policy Document Control Title Originator/author: Approval Body Wandsworth CCG Continuing Healthcare Commissioning Policy Alison Kirby / Munya Nhamo Wandsworth
More informationRefocusing CPA: a summary of the key changes. Bernadette Harrison CPA Manager Bedfordshire & Luton Mental Health & Social Care Partnership NHS Trust
Refocusing CPA: a summary of the key changes Bernadette Harrison CPA Manager Bedfordshire & Luton Mental Health & Social Care Partnership NHS Trust Introduction In March 2008, the Department of Health
More informationBedfordshire and Luton Mental Health Street Triage. Operational Policy
Bedfordshire and Luton Mental Health Street Triage Operational Policy 1 1. Introduction Mental Health Street Triage (MHST) is a collaborative service between mental health professionals (MHPs) paramedics
More informationSERVICE SPECIFICATION
SERVICE SPECIFICATION Service Rotherham Hospice Lead Gail Palmer Provider Lead Paula Hill / Mike Wilkerson Period 21 st July 2010 20 th July 2013 1. Purpose This specification describes the services which
More informationPolicy on the Commissioning of NHS Continuing Healthcare for Adults: Assuring Equity, Choice and Value for Money
Policy Statement No. Salford Clinical Commissioning Group Policy on the Commissioning of NHS Continuing Healthcare for Adults: Assuring Equity, Choice and Value for Money Lead for development & revisions
More informationOperational Policy for Children s Continuing Care.
Operational Policy for Children s Continuing Care. Health, Better Care, Better Value October 2016 1 Document Control Sheet Name of document: Version: 2.0 Policy for children s continuing healthcare Status:
More informationTHE SERVICES. A. Service Specifications (B1) Ian Diley (Suffolk County Council)
THE SERVICES A. Service Specifications (B1) Service Specification No. Service Early Supported Discharge for Stroke Patients v5.0 Commissioner Lead Dr Mark Lim, T Woor (Suffolk Stroke Review Project Board)
More informationWhat is this Guide for?
Continuing NHS Healthcare (CHC) is a package of services that is arranged and funded solely by the NHS, for those people who have been assessed as having a primary health need. The issue is one of need.
More informationGuidance on End of Life Care-Updated July 2014
Guidance on End of Life Care-Updated July 2014 INTRODUCTION Definition of End of Life Care: End of Life care helps all those with advanced, progressive, incurable illness to live as well as possible until
More informationThe Mental Health (Wales) Measure Part 1 Scheme. Local Primary Mental Health Support Services. for
The Mental Health (Wales) Measure 2010 Part 1 Scheme Local Primary Mental Health Support Services for BETSI CADWALADR UNIVERSITY HEALTH BOARD ANGLESEY COUNTY COUNCIL GWYNEDD COUNCIL CONWY COUNTY BOROUGH
More informationStaffordshire and Stoke on Trent Adult Safeguarding Partnership Board Safeguarding Adult Reviews (SAR) Protocol
Staffordshire and Stoke on Trent Adult Safeguarding Partnership Board Safeguarding Adult Reviews (SAR) Protocol SAR Process July 2014 (revised August 2017) Page 1 Contents 1. Introduction 2. Criteria 3.
More informationLearning from Deaths Policy. This policy applies Trust wide
Learning from Deaths Policy This policy applies Trust wide Document control page Name of policy Learning from Deaths Policy Names of linked Learning from Deaths Procedure procedures Accountable Medical
More informationAnnual Complaints Report 2017/2018
. Annual Complaints Report 2017/2018 CCG Information Reader Box Document Purpose CCG Website Link Title Author For information www.easterncheshireccg.nhs.uk NHS Eastern Cheshire Clinical Commissioning
More informationFreedom of Information Request NHS Continuing Healthcare
Dear Further to your request under the Freedom of Information Act 2000, please find attached your completed questionnaire. Please note that in line with section 12.1 of the Freedom of Information Act (exemption
More informationHospital Discharge and Transfer Guidance. Choice, Responsiveness, Integration & Shared Care
Hospital Discharge and Transfer Guidance Choice, Responsiveness, Integration & Shared Care Worcestershire Mental Health Partnership NHS Trust Information Reader Box Document Type: Document Purpose: Unique
More informationEnd of Life Care Policy. Document author Assured by Review cycle. 1. Introduction Purpose Scope Definitions...
End of Life Care Policy Board library reference Document author Assured by Review cycle P011 Lead Nurse Quality and Standards Committee 3 Years Contents 1. Introduction...3 2. Purpose...3 3. Scope...3
More informationPractice Guidance: Large Scale Investigations
Practice Guidance: Large Scale Investigations Version: Version 1: April 2014 Ratified by: Leeds Safeguarding Adults Board Date ratified: April 2014 Author/Originator of title Safeguarding Policy, Protocols
More informationOCCUPATIONAL HEALTH POLICY
OCCUPATIONAL HEALTH POLICY A document prepared by Pauline Slade and Joyce Scaife in liaison with Joanna Hattersley, Sheffield Health & Social Care NHS Foundation Trust, Human Resource Department, and the
More informationNHS Dorset Clinical Commissioning Group Policy for NHS Continuing Healthcare and NHS-funded Nursing Care
NHS Dorset Clinical Commissioning Group Policy for NHS Continuing Healthcare and NHS-funded Nursing Care Supporting people in Dorset to lead healthier lives PREFACE This policy sets out how NHS Dorset
More informationWe need to talk about Palliative Care. The Care Inspectorate
We need to talk about Palliative Care The Care Inspectorate Introduction The Care Inspectorate is the official body responsible for inspecting standards of care in Scotland. That means we regulate and
More informationDecision-making and mental capacity
1 2 3 NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE DRAFT GUIDELINE 4 5 Decision-making and mental capacity 6 7 8 [Issue date: month/year] Draft for consultation, December 2017 Decision-making and
More informationDRAFT CONTINUING HEALTHCARE (CHC) CHOICE & EQUITY POLICY. Version 2
DRAFT CONTINUING HEALTHCARE (CHC) CHOICE & EQUITY POLICY Version 2 1 Subject and version number of document: Continuing Healthcare (CHC) and Funded Nursing Care (FNC) Choice and Equity Policy Serial number:
More informationPage 1 of 18. Summary of Oxfordshire Safeguarding Adults Procedures
Page 1 of 18 Summary of Oxfordshire Safeguarding Adults Procedures Page 2 of 18 Introduction This part of the procedures sets out clear expectations regarding the standards roles and responsibilities of
More informationStandards for pre-registration nursing education
Standards for pre-registration nursing education Contents Standards for pre-registration nursing education... 1 Contents... 2 Section 1: Introduction... 4 Background and context... 4 Standards for competence...
More informationALLOCATION OF RESOURCES POLICY FOR CONTINUING HEALTHCARE FUNDED INDIVIDUALS
ALLOCATION OF RESOURCES POLICY FOR CONTINUING HEALTHCARE FUNDED INDIVIDUALS APPROVED BY: South Gloucestershire Clinical Commissioning Group Quality and Governance Committee DATE Date of Issue:- Version
More informationCHILDREN S & YOUNG PEOPLE S CONTINUING CARE POLICY
CHILDREN S & YOUNG PEOPLE S CONTINUING CARE POLICY UNIQUE REFERENCE NUMBER: CD/XX/079/V1.1 DOCUMENT STATUS: Approved at CDC 22 March 2017 DATE ISSUED: January 2017 DATE TO BE REVIEWED: January 2020 1 P
More informationNICE guideline Published: 22 September 2017 nice.org.uk/guidance/ng74
Intermediate care including reablement NICE guideline Published: 22 September 2017 nice.org.uk/guidance/ng74 NICE 2017. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-ofrights).
More informationLuton Psychiatric Liaison Service (PLS) Job Description & Person Specification
Luton Psychiatric Liaison Service (PLS) Job Description & Person Specification Job Title: Psychiatric Liaison Nurse Practitioner Grade: Band 6 Hours: Responsible To: Accountable To: Location 37.5 Hours
More informationNICE guideline Published: 17 September 2015 nice.org.uk/guidance/ng21
Home care: delivering ering personal care and practical support to older people living in their own homes NICE guideline Published: 17 September 2015 nice.org.uk/guidance/ng21 NICE 2018. All rights reserved.
More informationGreater Manchester Neuro-Rehabilitation Services information for patients and carers
THIS BOOKLET IS BEING TRIALLED Greater Manchester Neuro-Rehabilitation Services information for patients and carers Greater Manchester Neuro-Rehabilitation Services gmnrodn@srft.nhs.uk All Rights Reserved
More informationUnit 301 Understand how to provide support when working in end of life care Supporting information
Unit 301 Understand how to provide support when working in end of life care Supporting information Guidance This unit must be assessed in accordance with Skills for Care and Development s QCF Assessment
More informationPolicy Document Control Page
Policy Document Control Page Title Title: MHA Section 117 After-care Version: 4 Reference Number: CL49 Keywords: Mental Health Act, after-care, care planning, discharge, duty, continuing, after-care services,
More informationSerious Incident Management Policy
Serious Incident Management Policy Standard Operating Procedure Version Version 2 Implementation Date 01 November 2017 Review Date 31 October 2019 St Helens CCG Serious Incident Management Policy Approved
More informationHerefordshire Safeguarding Adults Board
Herefordshire Safeguarding Adults Board DEPRIVATION OF LIBERTY SAFEGUARDS (DoLS) POLICY, PROCEDURE AND GUIDANCE DATE: April 2015 It is suggested that this policy is read in conjunction with Herefordshire
More informationDuty of Candour Policy
Duty of Candour Policy Approved by: Candy Cooley, Chairman Date of approval February 2016 Originator(s): Libby Mytton, Director of Care Introduction It is the policy of Primrose Hospice to take an honest
More informationCore Domain You will be able to: You will know and understand: Leadership, Management and Team Working
DEGREE APPRENTICESHIP - REGISTERED NURSE 1 ST0293/01 Occupational Profile: A career in nursing is dynamic and exciting with opportunities to work in a range of different roles as a Registered Nurse. Your
More informationComplaints, Compliments and Concerns (CCC) Policy
Complaints, Compliments and Concerns (CCC) Policy Central and North West London NHS Foundation Trust (CNWL) is committed to providing quality NHS services and adopting best practice in listening and responding
More informationContinuing NHS Healthcare for Adults in Wales. Preparing you for a CHC Eligibility Meeting
Continuing NHS Healthcare for Adults in Wales Preparing you for a CHC Eligibility Meeting August 2016 Mae r ddogfen yma hefyd ar gael yn Gymraeg. This document is also available in Welsh. Crown copyright
More informationThe NHS Constitution
2 The NHS Constitution The NHS belongs to the people. It is there to improve our health and wellbeing, supporting us to keep mentally and physically well, to get better when we are ill and, when we cannot
More informationAppendix Five Decision Pathway Pressure Ulcers and safeguarding Adults (A3 format)
Appendix Five Decision Pathway Pressure Ulcers and safeguarding Adults (A3 format) Pressure ulcer is observed. Concern is raised that a person has significant skin damage. Category / Grade 3 and 4 or Multiple
More informationSafeguarding Adults Reviews Protocol
Staffordshire and Stoke on Trent Adult Safeguarding Partnership Board Safeguarding Adults Reviews Protocol July 2016 SAR Process July 2014 (revised July 2016) Page 1 Contents 1. Introduction 2. Criteria
More informationTOPIC 9 - THE SPECIALIST PALLIATIVE CARE TEAM (MDT)
TOPIC 9 - THE SPECIALIST PALLIATIVE CARE TEAM (MDT) Introduction The National Institute for Clinical Excellence has developed Guidance on Supportive and Palliative Care for patients with cancer. The standards
More informationNHS Continuing Healthcare Operational Policy
NHS Continuing Healthcare Operational Policy October 2017 Author: Responsibility: Tony Byrne, Interim Head of NHS Continuing Healthcare All Staff should adhere to this policy Revised Date: 13 October 2017
More informationLiving With Long Term Conditions A Policy Framework
April 2012 Living With Long Term Conditions A Policy Framework Living with Long Term Conditions Contents Page Number Minister s Foreword 3 Introduction 4 Principles 13 Chapter 1 Working in partnership
More informationNational Minimum Standards Care Homes for Older People. Sept 2016
National Minimum Standards Care Homes for Older People Sept 2016 Page 1 of 5 Contents Page Content Page No. National Minimum Standards Care Homes for Older People 3 Regulatory Context 3 Structure and Approach
More informationCastle Point & Rochford CCG NHS Continuing Healthcare Operational Policy
Castle Point & Rochford CCG NHS Continuing Healthcare Operational Policy 1 st January 2017 Version: 1.0 Ratified by: Castle Point & Rochford CCG Governing Body Date ratified: Name of originator/author:
More informationAdmiral Nurse Band 7. Job Description
Admiral Nurse Band 7 Job Description Job Title: Admiral Nurse Clinical Lead Grade: Band 7 Location: Brighton Hours: 37.5 Managerially accountable to: Professionally responsible to: Service Manager Dementia
More informationQuality Assurance Framework Adults Services. Framework. Version: 1.2 Effective from: August 2016 Review date: June 2017
Quality Assurance Framework Adults Services Framework Version: 1.2 Effective from: August 2016 Review date: June 2017 Signed off by: Sharon Gogan Title: Head of Adult Social Care Date: 20 th May 2014 Quality
More informationNorthern Ireland Social Care Council Quality Assurance Framework for Education and Training Regulated by the Northern Ireland Social Care Council
Northern Ireland Social Care Council Quality Assurance Framework for Education and Training Regulated by the Northern Ireland Social Care Council Approval, Monitoring, Review and Inspection Arrangements
More informationDRAFT Optimal Care Pathway
DRAFT Optimal Care Pathway 1. Introduction... 3 1.1 Background... 3 1.2 Intent of the Optimal Care Pathways... 3 1.3 Key principles of care... 3 2. Steps in the care of patients with x cancer... 4 Step
More informationService User Guide ( To be read in conjunction with your Service User Contract )
Service User Guide ( To be read in conjunction with your Service User Contract ) Our Principles: Our Service User Guide aims to provide information about Essential Nursing and Care Services Limited, the
More informationTransition between inpatient hospital settings and community or care home settings for adults with social care needs
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Transition between inpatient hospital settings and community or care home settings for adults with social care needs NICE guideline: full version, November
More informationPolicy Review Sheet. Review Date: 14/10/16 Policy Last Amended: 19/10/17. Next planned review in 12 months, or sooner as required.
Category: Care Management Sub-category: Care Practice Page: 1 of 10 Policy Review Sheet Review Date: 14/10/16 Policy Last Amended: 19/10/17 Next planned review in 12 months, or sooner as required. Note:
More informationMy Discharge a proactive case management for discharging patients with dementia
Shine 2013 final report Project title My Discharge a proactive case management for discharging patients with dementia Organisation name Royal Free London NHS foundation rust Project completion: March 2014
More informationWorcestershire Early Intervention Service. Operational Policy
Worcestershire Early Intervention Service Operational Policy Document Type Service Operational Unique Identifier CL-158 Document Purpose To Outline The Operation Of The Early Intervention Service Document
More informationSara Barrington Acting Head of CHC
Continuing Healthcare (CHC) Operational Policy 31 st March 2017 Author: Sara Barrington Acting Head of CHC Other contributors: Executive Lead(s) Audience Steve Hams - Interim Director of Clinical Performance
More information1. Guidance notes. Social care (Adults, England) Knowledge set for end of life care. (revised edition, 2010) What are knowledge sets?
Social care (Adults, England) Knowledge set for end of life care (revised edition, 2010) Part of the sector skills council Skills for Care and Development 1. Guidance notes What are knowledge sets? Knowledge
More informationFrequently Asked Questions about the BILD PI Training Accreditation Scheme
Frequently Asked Questions about the BILD PI Training Accreditation Scheme The BILD PI Training Accreditation Scheme was launched in 2002, following extensive work, consultation and guidance. Underpinned
More informationManis Aged Care Limited
Manis Aged Care Limited Introduction This report records the results of a Surveillance Audit of a provider of aged residential care services against the Health and Disability Services Standards (NZS8134.1:2008;
More informationPatient Experience Strategy
Patient Experience Strategy Published: June 2017 Find us online at cornwallft 1.Introduction At Cornwall Partnership NHS Foundation Trust (CFT) we believe in delivering high quality care. We care deeply
More informationManaging medicines in care homes
Managing medicines in care homes http://www.nice.org.uk/guidance/sc/sc1.jsp Published: 14 March 2014 Contents What is this guideline about and who is it for?... 5 Purpose of this guideline... 5 Audience
More informationIndividualised End of Life Care Plan for the Last Days or Hours of Life Patient name Hospital number Date of birth
Individualised End of Life Care Plan for the Last Days or Hours of Life Patient name Hospital number Date of birth NHS number Informed by Five Priorities for Care: Recognise, Communicate, Involve, Support,
More informationPerformance and Quality Committee
Title: NHS Continuing Health Care Choice Policy (addendum to Cornwall Wide Patient Choice, Equity and Fair Access Policy) Developed by: Document type: Policy library: NHS Kernow Policy Policies Sub Section:
More informationINTRODUCTION TO THE UK PUBLIC HEALTH REGISTER ROUTE TO REGISTRATION FOR PUBLIC HEALTH PRACTITIONERS
INTRODUCTION TO THE UK PUBLIC HEALTH REGISTER ROUTE TO REGISTRATION FOR PUBLIC HEALTH PRACTITIONERS This introduction consists of: 1. Introduction to the UK Public Health Register 2. Process and Structures
More informationLearning from Deaths Policy A Framework for Identifying, Reporting, Investigating and Learning from Deaths in Care.
Learning from Deaths Policy A Framework for Identifying, Reporting, Investigating and Learning from Deaths in Care. Associated Policies Being Open and Duty of Candour policy CG10 Clinical incident / near-miss
More informationNational Standards for the Conduct of Reviews of Patient Safety Incidents
National Standards for the Conduct of Reviews of Patient Safety Incidents 2017 About the Health Information and Quality Authority The Health Information and Quality Authority (HIQA) is an independent
More informationEnd of Life Care Strategy PROUD TO MAKE A DIFFERENCE
End of Life Care Strategy 2017-2019 PROUD TO MAKE A DIFFERENCE Background Sheffield Teaching Hospitals NHS Trust is committed to delivering high quality care to patients and those identified as important
More informationMINIMUM CRITERIA FOR REACH AND CLP INSPECTIONS 1
FORUM FOR EXCHANGE OF INFORMATION ON ENFORCEMENT Adopted at the 9 th meeting of the Forum on 1-3 March 2011 MINIMUM CRITERIA FOR REACH AND CLP INSPECTIONS 1 MARCH 2011 1 First edition adopted at the 6
More informationPersonal Budgets should be based on clear and agreed outcomes that are to be set out in the EHC Plan.
Cambridgeshire County Council and Clinical Commissioning Group (CCG) Personal Budget Policy For Children and Young People aged 0-25 with Special Educational Needs and Disabilities Version 1.0 Page 1 1.0
More informationDRAFT. Rehabilitation and Enablement Services Redesign
DRAFT Rehabilitation and Enablement Services Redesign Services Vision Statement Inverclyde CHP is committed to deliver Adult rehabilitation services that are easily accessible, individually tailored to
More informationCONTINUING HEALTHCARE (CHC) CHOICE & EQUITY POLICY
CONTINUING HEALTHCARE (CHC) CHOICE & EQUITY POLICY Ref: Version: Supersedes: Author (inc Job Title): Ratified by: (Name of responsible Committee) Date ratified: To be completed by Corporate Team To be
More informationCCG CO21 Continuing Healthcare Policy on the Commissioning of Care
Corporate CCG CO21 Continuing Healthcare Policy on the Commissioning of Care Version Number Date Issued Review Date V1 28 04 15 29 April 2015 April 2016 Prepared By: Head of Quality & Patient Safety Consultation
More informationQuality Accounts: Corroborative Statements from Commissioning Groups. Nottingham NHS Treatment Centre - Corroborative Statement
Quality Accounts: Corroborative Statements from Commissioning Groups Quality Accounts are annual reports to the public from providers of NHS healthcare about the quality of services they deliver. The primary
More informationThe Care Certificate Framework
The Care Certificate Framework Assessor Document Copyright Health Education England, Skills for Care and Skills for Health 1 Overall goal of the Care Certificate The introduction of the Care Certificate
More informationSolent. NHS Trust. Allied Health Professionals (AHPs) Strategic Framework
Solent NHS Trust Allied Health Professionals (AHPs) Strategic Framework 2016-2019 Introduction from Chief Nurse, Mandy Rayani As the executive responsible for providing professional leadership for the
More information6Cs in social care - mapped to the Care Certificate
- mapped to the Certificate Standard Standard Understand your role Standard Your personal development Standard Duty of care Standard Equality and diversity Standard 5 Work in a person centred way Standard
More informationInspiring: Dementia Care in Hospitals.
Inspiring: Dementia Care in Hospitals. INSPIRING DEMENTIA CARE IN HOSPITALS Feelings Matter Most in Person Centred Dementia Care The 70 Point Hospital Culture and Quality of Care Checklist Name of person
More informationCan I Help You? V3.0 December 2013
Can I help you? Policy for the provision and management of patient feedback: comments, concerns or compliments, or complaints about NHS 24 and its services. Author: Patient Affairs Manager/ ADoN Clinical
More informationNational Standards Assessment Program. Quality Report
National Standards Assessment Program Quality Report - March 2016 1 His Excellency General the Honourable Sir Peter Cosgrove AK MC (Retd), Governor-General of the Commonwealth of Australia, Patron Palliative
More information